| NPI | 1467077529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 68962) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 12010) |
| Enumeration Date | 2020-06-14 |
| Last Update Date | 2025-05-28 |